Intracranial hypotension

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Sagittal T1

Midsagittal contrast enhanced MRI of the brain in a 60-year-old woman with postural headache shows smooth pachymeningeal enhancement, effacement of cortical sulci (more than would be expected for a 60-year-old person), sagging cerebellar tonsils, and a plump, full pituitary gland. These findings are consistent with intracranial hypotension.